OGC SO41 - Omentopexy Technique in Robotic Assisted Minimally Invasive Oesophagectomy
Morman-Dodd, Jessie De Rosa, Antonella Alqudah, Abdallah Cotton, Arthur Dwerryhouse, Simon Upchurch, Emma Vipond, Mark
Morman-Dodd, Jessie
De Rosa, Antonella
Alqudah, Abdallah
Cotton, Arthur
Dwerryhouse, Simon
Upchurch, Emma
Vipond, Mark
Date
2024-11-13
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Abstract
Background: Laparoscopic omentopexy has been shown to reduce the
rates of post-oesophagectomy diaphragmatic hernia (PODH) in a
retrospective cohort study in a UK specialist centre. We aimed to
demonstrate the technique during robotic-assisted minimally invasive
oesophagectomy (RAMIE) with video capture.
Method: The Versius (CMR Surgical) robotic system was used in the
abdominal stage of RAMIE performed on a 63 year old male with a
poorly differentiated oesophageal adenocarcinoma. No previous
abdominal surgery had been performed on this patient. Video capture
was used to record this part of the procedure.
Results: Ports were inserted in standard configuration to allow
fashioning of a gastric conduit. Following this the greater omentum
was secured to the anterior abdominal wall around the jejunostomy
site. No immediate complications were observed.
Conclusion: The Versius system can be used to successfully perform
omentopexy with standard port positioning. Omentopexy was
successfully performed with no immediate complications, did not
significantly prolong procedural time and may reduce risk of PODH.
The authors support the use of this technique in robotic-assisted
surgery for reducing risk of PODH and support further work to validate
this technique in cohort studies.
Citation
Mitchell B., Morman-Dodd J. , De Rosa A. , Alqudah A., Lasheen O. , Cotton A., Dwerryhouse S. , Upchurch E. , Vipond M., Higgs S., Hornby S. (2024). OGC SO41 - Omentopexy Technique in Robotic Assisted Minimally Invasive Oesophagectomy. BJS, Supp 9, https://doi.org10.1093/bjs/znae271.165